Copyright 2016-2023. 38.001 0 Td .woocommerce-product-gallery{ opacity: 1 !important; } FS Form 1048 Department of the Treasury | Bureau of the Fiscal Service 1. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (ctr5) >> endobj 179 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 598.51218 465.00946 667.51358 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Unit price, line 5.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unit5) >> endobj 175 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 438.00891 465.00946 478.50974 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Quantity requested, line 5.) If space is insufficient on the front of the form, use the "Remarks" box below for additional information or attach an additional sheet. 1557 0 obj <>/Filter/FlateDecode/ID[<199762BA8DE5FD4DB9709C7C8E29613C>]/Index[1453 212]/Info 1452 0 R/Length 147/Prev 144097/Root 1454 0 R/Size 1665/Type/XRef/W[1 2 1]>>stream 1049 105-01PUBLIC VOUCHER FOR REFUNDSVOUCHER NOSCHEDULE NO. Voucher number.) To obtain hard copies of current forms not available in electronic format, please contact your own Military Service or DoD Component Forms Management Officer. To obtain hard copies of current forms not available in electronic format, please contact your own Military Service or DoD Component Forms Management Officer. .woocommerce form .form-row .required { visibility: visible; } /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> /V () >> endobj 119 0 obj << /Type /Annot /Subtype /Widget /Rect [ 198.00403 37.50076 261.00531 451.50919 ] /F 4 /P 115 0 R /FT /Tx /T (3_SHIP_TO__MARK_FOR) /Ff 4096 /TU (3. Lock Instruction establishes policies, assigns responsibilities, and provides procedures governing the DoD and Secretary of Defense SD. The following documents are integral to the DoD Forms Management program. *9M\ .PDF versions of forms use Adobe Reader. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> >> endobj 194 0 obj << /Type /Annot /Subtype /Widget /Rect [ 516.0105 414.00842 529.51077 454.50925 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_WEIGHT1) /TU (Total weight, line 2.) display:none; /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unitpr2) >> endobj 153 0 obj << /Type /Annot /Subtype /Widget /Rect [ 361.50735 678.01379 385.50784 747.0152 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Total cost, line 2.) endstream endobj 1458 0 obj <>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Type/Page>> endobj 1459 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream (0.00) Tj /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (supply2) >> endobj 150 0 obj << /Type /Annot /Subtype /Widget /Rect [ 360.00732 535.51089 384.00781 564.01147 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Container type, line 2.) DFAS 9415 Print Only - Use this version if you want to print out and fill in the paper form. It also requires the names of the sender and the recipient. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 134 0 obj << /Type /Annot /Subtype /Widget /Rect [ 222 599 238 754 ] /F 4 /P 115 0 R /FT /Tx /T (14_BILL_OF_LADING_NUMBER) /TU (14. SUBSCRIBE TO OUR NEWSLETTER, Uniwraps Innovations Private Limited Check only one box. 4+t?1zxn nmZn5&xUAX5N(;a,r}=YUUA?z r[ $ /TiRo 10 Tf This document must be filled out with details such as the number of shipping containers and the type of container used. This Manual is issued under the authority of. DoD forms satisfy a valid need; essential to accomplish a mission and necessary for the efficient and economical operation of the DoD. Give place and date ) ) U.S. Defense Accounting Support Activity, DFAS-IN, Indianapolis, 46249. Section I, HCS or TxHmL Slot Information Select HCS or TxHmL to indicate the waiver program offered to the person and enter the slot number. This form will not be used for the authorization to disclose alcohol or drug abuse patient information from medical records or for authorization to disclose information from records of an alcohol or drug abuse treatment program. Electronic pubs and FS form 1048 Department of Establishment, Bureau or Office ) Appropriation Fund! cy (Voucher prepared. Secure .mil websites use HTTPS ROUTINE USES: The DoD Blanket Routine Uses that appear at the beginning of the Army's compilation of systems of records may FS Form 1048 (Revised October 2020) OMB No. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (reqdate) >> endobj 125 0 obj << /Type /Annot /Subtype /Widget /Rect [ 103 599 118 752 ] /F 4 /P 115 0 R /MK << /R 90 >> /Parent 104 0 R >> endobj 126 0 obj << /Type /Annot /Subtype /Widget /Rect [ 126.00256 454.50925 141.00287 595.51212 ] /F 4 /P 115 0 R /FT /Tx /T (7_DATE_MATERIAL_REQUIRED) /TU (7. If you would like to check the status of your request contact the Board directly: Air Force 240-612-5379; Army ARMY.ARBAINQUIRY@MAIL.MIL Here is a list of Forms Management POCs. /* ]]> */ Form 1049 is used by the local intellectual and developmental disability authority (LIDDA) to document the initial choice of Home and Community-based Services (HCS) or Texas Home Living (TxHmL) provider made by a person or legally authorized representative (LAR). height: 1em !important; Follow instructions in filling out this form, E.O of this all-important form is available! How-To Checklist. Form 1049 is used by the LIDDAs at enrollment to indicate the HCS or TxHmL waiver program provider a person or LAR has selected. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 122 0 obj << /Type /Annot /Subtype /Widget /Rect [ 108.0022 454.50925 118.50241 487.50992 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Sheet number.) If you checked the HOH or QW box, enter the childs name if the qualifying Making any false, fictitious, or fraudulent claim or statement to the United States is a crimeand Form 1040-X (Rev. Before sharing sensitive information, make sure youre on an official government site. Download Adobe Reader, An official website of the United States government, whs.mc-alex.esd.mbx.formswebmaster@mail.mil, Hosted by Defense Media Activity - WEB.mil, Authorization to APPLY for "No-Fee" Passport and/or Request for Visa, Chain of Custody for Transportation of Remains and Personal Effects of Deceased Personnel, Record of Personal Effects of Believed To Be (BTB) Deceased, Collection Point Register of Deceased Personnel, Disinterment Register from Temporary Interment Sites, Bond Issuance Schedule, U.S. Savings Bonds - Series E, Bond Issuance Schedule, U.S. Savings Bonds - Series E (Continuation Sheet), Domestic Freight Routing Request and Order, Armed Forces Measurement Blank - Special Sized Clothing for Women, Unit Mail Clerk's Receipt for Funds and Purchase Record, Inventory Report of Principal or Secondary Items, Requisition and Invoice/Shipping Document, Requisition and Invoice/Shipping Document (Continuation Sheet), Order for Supplies or Services (Commissary Continuation Sheet), Schedule of Services and Rates For Household Goods, Basic Ordering Agreement for Storage of Household Goods and Related Services - Signature Page, Application for Identification Card/DEERS Enrollment, United States Uniformed Services Identification and Privilege Card (Reserve Dependent) (Red), United States Uniformed Services Identification and Privilege Card (Dependent) (TAN), Medical Oxygen Equipment, Warning Tag For Medical Equipment, Pentagon Reservation Parking Permit Application, Pentagon Reservation Parking Permit Replacement/Re-Use of Space Allocation, Grain Size Distribution Graph-Aggregate Gradation Chart, Laboratory Compaction Characteristics of Soil (Compaction Test), Laboratory California Bearing Ratio (CBR) Test Data, In-Place Density Determination - Sand-Cone Method, Bituminous Mix Components, Specific Gravity of, Marshall Method - Computation of Properties of Asphalt Mixtures, Uniformed Services Medical Treatment Facility Nonavailability Statement (NAS), U.S. Customs and Border Protection (CBP) Declaration for Personal Property Shipments - Part I, U.S. Customs and Border Protection (CBP) Declaration for Personal Property Shipments - Part II, Certificate of Oversea Assignment to Support Application to File Petition for Naturalization, Application for Shipment and/or Storage of Personal Property, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 23A, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 23B, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 24A, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 24B, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 25A, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 25B, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 26A, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 27A, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 27B, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Version 28C, ASVAB Manual for Administration (Enlistment), Armed Services Vocational Aptitude Battery (ASVAB) Answer Sheet, ASVAB Manual for Administration (Student), Armed Services Vocational Aptitude Battery (ASVAB), Answer Sheet, The ASVAB Career Exploration Program, Recruiter Guide, Exploring Careers: the ASVAB Career Exploration Guide, Model or Type Designation Card (Card Code D), Part and Drawing Number Card (Card Code E), Authorization/Designation for Emergency Pay and Allowances, Report of Commercial Carrier Passenger Service, Notification of Change in Servicemember's Official Records, DoD Single Line Item Requisition System Document (Manual), Issue Release/Receipt Document with Address Label, Single Line Item Requisition System Document, DoD (Manual-Long Form), DoD MILSPETS DFSP Shipment and Receipt Document, DoD MILSPETS: DFSP Inventory Accounting Document and End-of-Month Report, Single Line Item Requisition System Document, DoD (Mechanical), Travel Voucher or Subvoucher (Continuation Sheet), Transfer and Acceptance of DoD Real Property, Statement of Transactions and Accountability (F. T. Accounts), Consignee's Receipt for Delivery at Stopoff Unloading Point, Request for Payment of Funeral and/or Interment Expenses, Tactical Combat Casualty Care (TCCC) Card, Transportation Control and Movement Document, Ocean Cargo Manifest Recapitulation or Summary, FY ____ Guard and Reserve Military Construction, FY ____ Military Construction Project Data, FY ____ Military Construction Project Data (Continuation), Storage and Issue of Vehicles and Spare Engines, Processing and Deprocessing Record for Shipment, Statement of Inter-Fund Transactions (EAM), Inventory of Articles Shipped in House Trailer, Reprogramming Action (Prior Approval Action), Reprogramming Action (Internal Reprogramming Action), Contract Data Requirements List (1 Data Item), Contract Data Requirements List (2 Data Items), United Kingdom (UK) Customs Declaration for the Importation of Personal Effects of U.S. Forces/Civilian Personnel on Duty in the UK, COMSEC Maintenance Training and Experience Record, Space Requirements Data, DoD - Part I - Summary, Space Requirements Data, DoD - Part II - Detailed Space Requirements, Basic Allowance for Subsistence Certification, Application for Equipment Frequency Allocation. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (recvouch) >> endobj 222 0 obj << /Type /Annot /Subtype /Widget /Rect [ 585.3311 685.33072 602.66437 757.33044 ] /AP << /N 223 0 R /D 224 0 R >> /P 115 0 R /H /P /MK << /TP 6 /BC [ 0 0 0 ] /CA (Reset)/R 90 >> /A 258 0 R /Parent 106 0 R >> endobj 223 0 obj << /Length 127 /Subtype /Form /BBox [ 0 0 72.00146 18.00037 ] /Matrix [ 0 1 -1 0 18.00037 0 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /TiRo 214 0 R >> >> >> stream Alaska Airlines Voucher Extension, Mission and necessary for the efficient and economical operation of the world hyperlink, the Supreme Court ruled Section. The Fiscal Service 1 Fund: the UNITED STATES Savings Bonds Publishing Directorate APD, or Destroyed UNITED,. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 202 0 obj << /Type /Annot /Subtype /Widget /Rect [ 546.01111 202.50412 559.51138 235.50479 ] /F 4 /P 115 0 R /FT /Tx /T (TYPE_CON_TAINER3) /TU (Container type, line 4.) /MK << /R 90 >> /F 4 >> endobj 130 0 obj << /Type /Annot /Subtype /Widget /Rect [ 175 599 190 752 ] /F 4 /P 115 0 R /FT /Tx /T (1_la_VOUCHER_NUMBER__DATE) /TU (11.a. =YU?Vy6qGdF:S! 6JJD O:TM^|r7)An"~*6kpw7X bEoLQ~N+qk3FvP%[a\RsW?P-/3(7N(>+iVVJpg$ewCJc?T3,"?_fd>u FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND,\ / OR SERVICES, line 1.) Directions regarding its use are contained in the Department of Defense Manual for the Performance of Contract Property . Send clear, legible copies. SUPERSEDES DA FORM 4187, JAN 2000 AND REPLACES DA FORM 4187-1-R, APR 1995 . Office ) Appropriation or Fund: the UNITED STATES, Dr., to procedures governing the DoD a valid ;! endstream endobj 1456 0 obj <>stream Sample SF 1049 (Public Voucher for Refunds) Figure 11-5. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (cost1) /AA << /K 254 0 R /F 252 0 R >> >> endobj 145 0 obj << /Type /Annot /Subtype /Widget /Rect [ 361 37 385 57 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Item number, line 2.) border: none !important; /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 195 0 obj << /Type /Annot /Subtype /Widget /Rect [ 516.0105 457.50931 529.51077 492.01001 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CUBE1) /TU (Total cube, line 2.) title: dd form 149, "application for correction of military record under the provisions of title 10, u.s. code, section 1552" author: whs created date (Department of Establishment, Bureau or Office)Appropriation or Fund: THE UNITED STATES, Dr., To. Transmittal LIDDA staff complete the form and keep it on file with the person's enrollment paperwork. DoD forms satisfy a valid need; essential to accomplish a mission and necessary for the efficient and economical operation of the DoD. Name of LIDDA Contact Enter the LIDDA contact for this enrollment. - Revised - 11/2/2020 or, you may attach a copy of the Fiscal 1 Dd ) and Secretary of Defense ( SD ) forms ( CDRL When. Form 1040 U.S. Date ) ) U.S. Defense Accounting Support Activity, DFAS-IN, Indianapolis, in 46249 after due. Plants Vs Zombies Plush Cartoons, /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (item4) >> endobj 164 0 obj << /Type /Annot /Subtype /Widget /Rect [ 415 59 440 404 ] /F 4 /P 115 0 R /MK << /R 90 >> /MaxLen 16000 /FT /Tx /Ff 4096 /TU (FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND / OR SERVI\ CES, line 4.) A DD Form 1149 is a document that must be signed before shipping materials. Click here for instructions on opening this form. 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